Graduate medical education is grounded in a core commitment to the public: that individuals who complete a training program and are certified by their specialty board are “practice ready”—that is, they are able to meet the needs of their patients (and caregivers) upon entering practice. Beginning in 2028, the American Board of Pediatrics (ABP) aims to advance and operationalize this commitment by requiring program directors to attest that graduates are able to perform the essential activities of